How Long Should You Use Hemorrhoid Cream for Effective Relief?

How long should hemorrhoid ointment be applied?

You have experienced rectal bleeding and underwent a colonoscopy, which revealed significant mixed hemorrhoids.
After applying hemorrhoid ointment, you noticed improvement; however, discomfort recurs after one to two weeks, particularly in the evenings when you feel a sensation of fullness in the anal area.
After a few days, the external hemorrhoids become swollen and painful again.
Currently, you maintain a healthy lifestyle by avoiding smoking and alcohol, going to bed early, waking up early, consuming plenty of fruits and vegetables, drinking water, and exercising.
Your bowel movements take no longer than three minutes, and you take warm baths with massage after showering.
You are currently using the ointment "HemoHeal."
You are inquiring whether, after alleviating the symptoms of external hemorrhoids, it is necessary to continue applying the ointment for a certain number of days to effectively reduce the recurrence of swelling in the internal hemorrhoids.
Thank you for your time, doctor; I greatly appreciate your guidance!

cpl, 40~49 year old female. Ask Date: 2017/12/06

Dr. Ke Fangxu reply Surgery

Topical ointments can alleviate the symptoms of hemorrhoids to some extent; however, for internal hemorrhoids, it is still recommended to use suppositories for better treatment efficacy.
Therefore, patients with mixed hemorrhoids often use both treatments together for optimal results.
Additionally, if your work involves prolonged sitting, it is advisable to take regular breaks to stand and move around to prevent poor blood circulation, which can lead to swelling of the hemorrhoids.

Reply Date: 2017/12/06

More Info

When it comes to the effective use of hemorrhoid creams, such as the one you mentioned (喜癒痣), it's important to understand both the nature of hemorrhoids and the role of topical treatments in their management. Hemorrhoids can be classified into internal and external types, and each may require different approaches for treatment and relief.

Duration of Use
Typically, hemorrhoid creams can be used for a period of one to two weeks, depending on the severity of your symptoms. If you notice improvement in your symptoms, such as reduced pain, swelling, and bleeding, it may be tempting to stop using the cream. However, it is generally advisable to continue using the cream for a few days after symptoms have improved to ensure that the inflammation is fully resolved and to prevent recurrence. This is especially true for internal hemorrhoids, which may not be as easily monitored as external ones.

Importance of Consistency
Consistency is key when using hemorrhoid creams. Applying the cream as directed—usually two to three times a day—can help to manage symptoms effectively. If you find that your symptoms return after stopping the cream, it may indicate that the underlying issues have not been fully addressed. In such cases, it may be beneficial to continue using the cream for a longer duration, or to consult with your healthcare provider for further evaluation.

Addressing Underlying Causes
While topical treatments can provide symptomatic relief, it is crucial to address the underlying causes of hemorrhoids. You mentioned that you maintain a healthy lifestyle, which is excellent. A diet rich in fiber, adequate hydration, and regular exercise are all essential components in managing hemorrhoids. These lifestyle factors help to prevent constipation and straining during bowel movements, which are significant contributors to the development and exacerbation of hemorrhoids.

When to Seek Further Help
If you continue to experience discomfort, swelling, or bleeding despite using the cream and maintaining a healthy lifestyle, it may be time to consult a healthcare professional. They can assess whether there are any complications, such as thrombosed hemorrhoids or other conditions that may require different treatment approaches. In some cases, more invasive treatments, such as rubber band ligation or surgical options, may be necessary.

Conclusion
In summary, while hemorrhoid creams can provide effective relief, it is essential to use them consistently for a period of time even after symptoms improve. Additionally, maintaining a healthy lifestyle and addressing any underlying issues is crucial for long-term management. If symptoms persist or worsen, seeking further medical advice is recommended to ensure appropriate treatment and care. Always follow the guidance of your healthcare provider regarding the use of any medication, including topical treatments for hemorrhoids.

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